Prime RX Consultant Services Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

PRIME RX CONSULTANT SERVICES INC

Doing business as

Riverdale Pharmacy

Practice address

6545A Church St
Riverdale, GA 30274-2185

Phone

(678) 489-8484

NPI assigned

Dec 9, 2021

Last updated

Feb 27, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Olawale OlagbendeNPI 1346587045

Title

Owner

Phone

(678) 576-1428

Specialties & licenses 1

Addresses

Other names 1

• RIVERDALE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Olawale Okeowo Olagbende, PHARMD

  • Pharmacist
  • Atlanta, GA
  • NPI 1346587045
  NPD Authorized official
• Damilola Siaka-Steven

  • Pharmacist
  • Atlanta, GA
  • NPI 1477139814
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1437818291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 BLUESTONE DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303319531",
            "telephone_number": "678-489-8484",
            "fax_number": "678-802-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545A CHURCH ST",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742185",
            "telephone_number": "678-489-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME RX CONSULTANT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-09",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "OLAGBENDE",
        "authorized_official_first_name": "OLAWALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-576-1428"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIVERDALE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RIVERDALE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premier Womens OBGYN, LLC
• Mathilda Prevost
• Prime Healthcare Foundation - Southern Regional, LLC (Southern Regional Medical Center)
• Prime Healthcare Foundation - Southern Regional, LLC (Southern Regional Medical Center)
• Prime Healthcare Foundation - Southern Regional, LLC
• Primecare Medical Center
• Richard Prokesch, M.D.
• Promed Ambulance Service
• Padma Niharika Putrevu, MD
• QMG Healthcare & Group Home LLC

• Pharmacy in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.